Aurora Cordova
Palmdale,CA
Summary
Detail-oriented healthcare administration professional with a strong background in patient access and insurance verification. Expertise in managing high-volume inquiries, ensuring accurate documentation, and streamlining processes to enhance operational efficiency in fast-paced environments.
Overview
8
8
years of professional experience
Work History
Client Support Center Representative
MedPOINT Management
Lancaster, CA
11.2024 - Current
- Respond to high-volume provider and member inquiries regarding authorizations, provider selection, eligibility-related questions, and health plan benefit information.
- Utilized healthcare systems including EZ-CAP to efficiently manage client/member records, authorizations, and service-related inquiries, ensuring accurate documentation.
- Explain authorization workflows, provider network guidance, and benefit-related processes clearly and professionally to providers, members, and internal departments.
- Document all interactions accurately, log calls, and maintain detailed records in database systems to support compliance, continuity, and operational efficiency.
- Review and interpret healthcare information including CPT, ICD-10, and HCPCS-related details in support of authorization and benefit-related inquiries.
- Assist with routing and escalation of complex cases to the appropriate department while ensuring timely and accurate follow-through.
- Supported managed care operations by clarifying health plan versus IPA responsibilities and coordinating effective communication between internal teams and external callers.
- Maintained productivity, attention to detail, and quality standards in fast-paced call center and healthcare administration environment, contributing to operational success.
Admissions Representative / Registrar
Palmdale Regional Medical Center
Palmdale, CA
01.2020 - 11.2024
- Collected and verified demographic and insurance information from patients for accurate hospital registration in emergency and surgery departments.
- Verified patient details and insurance coverage, collected co-pays, and ensured accuracy of admission records.
- Coordinated admissions and discharge processes for seamless transfers to home care, extended care facilities, and self-care plans.
- Registered patients for labs, surgeries, and radiology while preparing and organizing patient charts and forms.
- Applied administrative knowledge and customer service skills to explain procedures and services to patients and families.
- Ensured accuracy and professionalism in fast-paced healthcare environment, contributing to reliable patient experiences.
Medical Receptionist
Proactive Work Health Services
Lancaster, CA
01.2018 - 01.2020
- Scheduled, rescheduled, and coordinated patient appointments while handling incoming calls and patient inquiries.
- Documented patient medical information, case histories, and insurance details, facilitating efficient appointment flow and payment processing.
- Reviewed and updated patient and employer data, ensuring accuracy of insurance, demographics, and health history for current records.
- Maintained HIPAA compliance and confidentiality standards while supporting front office and medical records tasks.
Education
Certificate - Sonography
High Desert Medical College
01-2018
High School Diploma -
Opportunities for Learning
01-2014
Skills
- Health Plan Benefits & Authorization Inquiries
- Authorization workflows
- Insurance Verification
- Managed Care & Provider Support
- Provider / Member Communication
- CPT / ICD-10 / HCPCS Familiarity
- Health Plan vs IPA Workflow Understanding
- EZ-CAP
- Data Entry & Database Documentation
- Call logging
- Call center customer service
- Customer Service
- Problem Solving & Escalations
- Microsoft Word & Excel
- Organization and Multitasking
- Attention to Detail
Targeted Strengths
Internal MedPOINT candidate with direct experience supporting provider/member benefit and authorization inquiries, managed care workflows, health plan/IPA responsibility review, and accurate system documentation. Prepared to expand into health plan benefits operations, benefit interpretation, and configuration support through strong healthcare foundation, system adaptability, and attention to detail.
Timeline
Client Support Center Representative
MedPOINT Management
11.2024 - Current
Admissions Representative / Registrar
Palmdale Regional Medical Center
01.2020 - 11.2024
Medical Receptionist
Proactive Work Health Services
01.2018 - 01.2020
Certificate - Sonography
High Desert Medical College
High School Diploma -
Opportunities for Learning